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ALBENA D. HALPERT M.D.
NPI 1669438925
Internal Medicine - Gastroenterology in Boston, MA

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
830 HARRISON AVE, MOAKLEY, 2ND FLOOR, BOSTON, MA 02118(617) 638-6525(617) 638-7448 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Albena D. Halpert M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALBENA D. HALPERT M.D. (NPI 1669438925) is an individual gastroenterology provider in Boston, Massachusetts, licensed in Massachusetts (222390) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1669438925
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameALBENA D. HALPERTCredential: M.D.
Location Address830 HARRISON AVE, MOAKLEY, 2ND FLOORBoston, MA 02118-2905
Mailing Address850 Harrison Ave, Yacc Bn-c7Boston, MA 02118-4001
Phone(617) 638-6525
Fax(617) 638-7448
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateApril 25, 2006
Last NPPES UpdateDecember 5, 2013
✔ NPI 1669438925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MA · 222390
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
830 HARRISON AVE, Boston, MA 02118
Open in Google Maps ↗

Other Identifiers 18

Other29-04917MA · Evercare
Other1669438925MA · Aetna Hmo
Other0034162MA · Neighborhood Health Plan
Other30206995NH · Nh Medicaid
Other968086-02MA · Network
OtherH23761MA · Anthem Bs
OtherP00693201MA · Railroad Medicare
Other1669438925MA · Fallon Community Health Plan
Other467674MA · Tufts
Other7840391MA · Aetna Non Hmo
OtherJ28226MA · Bcbs
Medicaid2088151MA
Other7926990MA · Cigna
OtherAA96987MA · Harvard Pilgrim Health Care
Medicaid110039703AMA
Medicare ID-Type UnspecifiedA37848MA
OtherJ28826MA · Hmo Blue
Medicare UPINH23761MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Albena D. Halpert M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022081033
PECOS Enrollment IDI20041108000240
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Albena Halpert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

President And Fellows Of Harvard College
1.5 mi
General Practice
188 LONGWOOD AVE
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: President & Fellows Of Harvard College
  • 170 clinicians in this Medicare group
NPI 1972761807 (617) 432-1440
Halpert Medical LLC
3.3 mi
Gastroenterology
27 PIER 7
Boston, MA 02129
  • Reassigned Medicare billing, Massachusetts enrollment
NPI 1194366849 (617) 272-0004

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Auburn Hospital

Acute Care Hospitals · Cambridge, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220002
Location330 Mount Auburn StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAUREEN T KAVANAH M.D.
Surgery (Surgical Oncology)
830 HARRISON AVE, MOAKLEY SUITE 1200
BOSTON, MA 02118
Suffolk County (617) 638-8655
MR. DAVID M. TAUSEVICH CRNA, APRN, MS, CCRN
Nurse Anesthetist, Certified Registered
830 HARRISON AVE, SUITE 3500
BOSTON, MA 02118
Suffolk County (617) 638-8776
KARIMOT A MAKINDE FNP-C
Nurse Practitioner (Family)
830 HARRISON AVE, SUITE 1200, MOAKLEY BUILDING
BOSTON, MA 02118
Suffolk County (617) 414-7990
DR. HIROKO KUNITAKE MD
Colon & Rectal Surgery
830 HARRISON AVE, SUITE 2100
BOSTON, MA 02118
Suffolk County (617) 414-8054
DR. NAOMI KO M.D.
Internal Medicine (Medical Oncology)
830 HARRISON AVE, MOAKLEY, 3RD FLOOR
BOSTON, MA 02118
Suffolk County (617) 638-6428
DR. ANDREEA M NEGROIU M.D.
Internal Medicine (Medical Oncology)
830 HARRISON AVE, MOAKLEY, 3RD FLOOR
BOSTON, MA 02118
Suffolk County (617) 638-6428
DR. DUC BA PHAN AUD
Audiologist
830 HARRISON AVE
BOSTON, MA 02118
Suffolk County (617) 638-8124
CHRISTINE ENGLE
Nurse Practitioner (Adult Health)
830 HARRISON AVE, MOAKLEY 3RD FLOOR
BOSTON, MA 02118
Suffolk County (617) 638-6428

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Albena Halpert's NPI number?

The NPI number for Albena Halpert is 1669438925. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Albena Halpert located?

Albena Halpert practices at 830 Harrison Ave Moakley, 2nd Floor, Boston, MA 02118. The listed phone number is (617) 638-6525.

What is Albena Halpert's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Albena Halpert enrolled in Medicare?

Yes. Albena Halpert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Albena Halpert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Albena Halpert reassigns Medicare benefits to 2 organizations: President And Fellows Of Harvard College (Boston, MA) and Halpert Medical LLC (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Albena Halpert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Albena Halpert accept?

Health plans from Taro Health list Albena Halpert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Albena Halpert affiliated with any hospitals?

According to CMS data, Albena Halpert is affiliated with Mount Auburn Hospital and Beth Israel Deaconess Medical Center.

When was this NPI record last updated?

The NPPES record for Albena Halpert was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.